ID | 58768 |
フルテキストURL | |
著者 |
Matsumoto, Naohisa
Department of Anesthesiology and Resuscitology, Okayama University Hospital
Nishimoto, Rei
Department of Anesthesiology and Resuscitology, Okayama University Hospital
Matsuoka, Yoshikazu
Departments of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine
Kaken ID
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Takeda, Yoshimasa
Department of Anesthesiology and Resuscitology, Okayama University Hospital
Morimatsu, Hiroshi
Department of Anesthesiology and Resuscitology, Okayama University Hospital
ORCID
Kaken ID
publons
researchmap
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抄録 | Background: Sodium-channel myotonia (SCM) is a nondystrophic myotonia, characterized by pure myotonia without muscle weakness or paramyotonia. The prevalence of skeletal muscle channelopathies is approximately 1 in 100,000, and the prevalence of SCM is much lower. To our knowledge, this is the first report on anesthetic management of a patient with SCM.
Case presentation: A 23-year-old woman with congenital nasal dysplasia and SCM was scheduled to undergo rhinoplasty with autologous costal cartilage. Total intravenous anesthesia without muscle relaxants was administered followed by continuous intercostal nerve block. Although transient elevation of potassium level in the blood was observed during surgery, the patient did not show exacerbation of myotonic or paralytic symptoms in the postoperative period.
Conclusion: Total intravenous anesthesia and peripheral nerve block can be administered safely to a patient with SCM. However, careful monitoring of the symptoms and electrolytes is recommended.
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キーワード | Anesthetic management
Myotonia congenita
Nondystrophic myotonia
Paramyotonia congenita
Periodic paralysis
Potassium-aggravated myotonia
Skeletal muscle channelopathy
Sodium-channel myotonia
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発行日 | 2019-11-25
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出版物タイトル |
JA Clinical Reports
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巻 | 5巻
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号 | 1号
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出版者 | Springer
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開始ページ | 77
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ISSN | 2363-9024
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © The Author(s). 2019
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論文のバージョン | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.1186/s40981-019-0300-8
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ライセンス | http://creativecommons.org/licenses/by/4.0/
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